No help, full refund

Our company is committed to help all of our customers to pass MRCPUK SEND as well as obtaining the IT certification successfully, but if you fail exam unfortunately, we will promise you full refund on condition that you show your failed report card to us. In the matter of fact, from the feedbacks of our customers the pass rate has reached 98% to 100%, so you really don't need to worry about that. Our SEND exam simulation: Endocrinology and Diabetes (Specialty Certificate Examination) sell well in many countries and enjoy high reputation in the world market, so you have every reason to believe that our SEND study guide materials will help you a lot.

We believe that you can tell from our attitudes towards full refund that how confident we are about our products. Therefore, there will be no risk of your property for you to choose our SEND exam simulation: Endocrinology and Diabetes (Specialty Certificate Examination), and our company will definitely guarantee your success as long as you practice all of the questions in our SEND study guide materials. Facts speak louder than words, our exam preparations are really worth of your attention, you might as well have a try.

After purchase, Instant Download: Upon successful payment, Our systems will automatically send the product you have purchased to your mailbox by email. (If not received within 12 hours, please contact us. Note: don't forget to check your spam.)

Convenience for reading and printing

In our website, there are three versions of SEND exam simulation: Endocrinology and Diabetes (Specialty Certificate Examination) for you to choose from namely, PDF Version, PC version and APP version, you can choose to download any one of SEND study guide materials as you like. Just as you know, the PDF version is convenient for you to read and print, since all of the useful study resources for IT exam are included in our Endocrinology and Diabetes (Specialty Certificate Examination) exam preparation, we ensure that you can pass the IT exam and get the IT certification successfully with the help of our SEND practice questions.

Free demo before buying

We are so proud of high quality of our SEND exam simulation: Endocrinology and Diabetes (Specialty Certificate Examination), and we would like to invite you to have a try, so please feel free to download the free demo in the website, we firmly believe that you will be attracted by the useful contents in our SEND study guide materials. There are all essences for the IT exam in our Endocrinology and Diabetes (Specialty Certificate Examination) exam questions, which can definitely help you to passed the IT exam and get the IT certification easily.

Under the situation of economic globalization, it is no denying that the competition among all kinds of industries have become increasingly intensified (SEND exam simulation: Endocrinology and Diabetes (Specialty Certificate Examination)), especially the IT industry, there are more and more IT workers all over the world, and the professional knowledge of IT industry is changing with each passing day. Under the circumstances, it is really necessary for you to take part in the MRCPUK SEND exam and try your best to get the IT certification, but there are only a few study materials for the IT exam, which makes the exam much harder for IT workers. Now, here comes the good news for you. Our company has committed to compile the SEND study guide materials for IT workers during the 10 years, and we have achieved a lot, we are happy to share our fruits with you in here.

MRCPUK Endocrinology and Diabetes (Specialty Certificate Examination) Sample Questions:

1. A 43-year-old man was in an ENT ward, having recently undergone removal of a carotid body tumour.
Five years previously, he had undergone a similar procedure in another hospital. He also recalled that his brother had undergone surgery for a similar condition, and that his father, who had since died, might also have had neck surgery.
The ENT surgeons were concerned that there might be an underlying genetic diagnosis.
What is the most likely diagnosis?

A) von Hippel-Lindau disease
B) succinate dehydrogenase D deficiency
C) succinate dehydrogenase A deficiency
D) multiple endocrine neoplasia type 2
E) neurofibromatosis type 1

2. A 55-year-old woman presented complaining of difficulty losing weight.
On examination, her blood pressure was 170/105 mmHg and urinalysis showed protein 1+.
An ultrasound scan of abdomen revealed a 4.5-cm solid lesion in the right adrenal gland. She was treated with ramipril and further endocrine evaluation was performed.
Investigations:
serum potassium3.6 mmol/L (3.5-4.9)
serum creatinine135 umol/L (60-110)
plasma renin activity:
(after 30 min supine)3.9 pmol/mL/h (1.1-2.7)
(after 30 min upright)6.8 pmol/mL/h (3.0-4.3)
plasma aldosterone:
(after 30 min supine)150 pmol/L (135-400)
(after 4 h upright)350 pmol/L (330-830)
serum cortisol (09.00 h)650 nmol/L (200-700)
serum cortisol (22.00 h)225 nmol/L (50-250)
24-h urinary free cortisol230 nmol (55-250)
24-h urinary dopamine3200 nmol (<3100)
24-h urinary adrenaline120 nmol (<144)
24-h urinary noradrenaline450 nmol (<570)
What is the most appropriate initial management of the adrenal lesion?

A) ?-adrenoceptor blockade
B) surgical excision
C) medical observation with annual ultrasonography
D) mineralocorticoid receptor blockade
E) angiotensin-2 receptor blockade

3. A 37-year-old woman presented with a 2-year history of increasingly frequent flushing episodes. She described alternating loose bowel motions and constipation. She had also noted menstrual irregularity. She had no respiratory symptoms. She denied headache or chest pain, but complained of palpitations.
On examination, she appeared well. Her blood pressure was 128/82 mmHg.
Investigations:
serum thyroid-stimulating hormone0.8 mU/L (0.4-5.0)
What is the most appropriate next investigation?

A) serum gonadotrophins
B) urinary metanephrines
C) fasting plasma gut hormones
D) urinary 5-hydroxyindoleacetic acid
E) plasma metanephrines

4. A 26-year-old physiologist was seen in the diabetes outpatient clinic. She had type 1 diabetes mellitus of 9 months' duration, treated with subcutaneous insulin.
She asked what symptoms of hypoglycaemia she might experience.
In what order are responses to hypoglycaemia most likely to occur as blood glucose falls?

A) counter-regulatory hormones, neuroglycopenia, autonomic
B) autonomic, neuroglycopenia, counter-regulatory hormones
C) autonomic, counter-regulatory hormones, neuroglycopenia
D) counter-regulatory hormones, autonomic, neuroglycopenia
E) neuroglycopenia, autonomic, counter-regulatory hormones

5. A 26-year-old woman with previously well-controlled primary hypothyroidism had been an in patient for treatment of an eating disorder for the previous 6 weeks. She had a history of anaemia resulting from multiple vitamin deficiency and gastric erosions. She had been taking levothyroxine 125 micrograms daily for the previous 5 years; since admission her medication had also included ferrous sulfate, calcium and vitamin D, and sucralfate. Her daily medicines were taken under supervision at 09.00 h. Although she was eating better and had gained 4 kg in weight, she was now complaining of tiredness and feeling "worse than ever".
On examination, she was thin, slightly pale and had no palpable goitre. Recent blood tests had confirmed that her anaemia had resolved.
Investigations:
serum corrected calcium2.28 mmo/L (2.20-2.60)
serum thryoid-stimulating hormone12.0 mU/L (0.4-5.0)
serum free T48.0 pmol/L (10.0-22.0)
serum T30.90 nmol/L (1.07-3.18)
What is the most appropriate next step in management?

A) add liothyronine 20 micrograms daily
B) no change in treatment
C) stop treatment with calcium and vitamin D
D) administer levothyroxine alone at bedtime
E) increase levothyroxine to 175 micrograms daily

Solutions: